Well, I'm in the middle of switching from one anti-depressant (cipralex) to another (cymbalta) with the hopes that the new one will help with pain as well. In the meantime I have been told by my doctor to call my rheumy, then my rheumy told me to call my gp and the upshot of this all is....nothing. Pain in my hands is a constant, and my brain is all fogged up from the drugs. I did manage to get an earlier appointment with my rheumy and I'm bringing my ABI (acquired brain injury) worker with me. I'm going to sit out in the shade with a book and listen to the birds and try very hard to remember that this stage will pass.